Individual
RUTH L MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
17 GILFORD AVE, LACONIA, NH 03246-2827
(603) 528-3035
(603) 524-7153
Mailing address
215 MYRTLE ST, MANCHESTER, NH 03104-4354
(603) 668-0014
(603) 623-7676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
150
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011854
VT MEDICAID
VT
01
—
1047072
CIGNA
NH
01
—
11656407
CAQH
NH
01
—
14Y000881NH01
WELLPOINT BHN
NH
05
—
30009753
—
NH
01
—
5395900
UBH PACIFICARE
NH
Enumeration date
04/04/2007
Last updated
07/08/2007
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